2019 Summary of Programs and Services Section Belderaffairs.state.fl.us/doea/pubs/pubs/sops2019/2019_SOPS_B.pdf · In-home services including homemaker, home health aide, home repair,

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SECTION BOlder Americans Act Programs

The federal Older Americans Act (OAA) provides assistance in the development of new or improved programs to help older persons by awarding grants to the states for community planning and services. OAA Title III, Title V, and Title VII allotments to the states are calculated by using a statutory formula based on the state’s population and prior funding history.

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2019 SUMMARY OF PROGRAMS AND SERVICES

26 2019 SUMMARY OF PROGRAMS AND SERVICES

Older Americans Act Programs

Title III B – Supportive Services

DescriptionOlder Americans Act (OAA) Title III B funds provide supportive services to enhance the well-being of elders and to help them live independently in their home environment and the community.

Services and ActivitiesSupportive services consist of the following:

● Access services including transportation, outreach, information and referral, and case management;

● In-home services including homemaker, home health aide, home repair, companionship, telephone reassurance, chore, respite, and other supportive services for families of elders living with Alzheimer’s Disease and Related Disorders (ADRD); and

● Legal assistance related to income, health care, long-term care, nutrition, housing, utilities, protective services, defense of guardianship, abuse, neglect, and age discrimination.

AdministrationThe Department administers OAA Title III B programs and services through contracts with Area Agencies on Aging (AAAs), which enter into agreements with local service providers to deliver services within their communities. Program services are provided statewide by contractors and subcontractors.

EligibilityIndividuals age 60 or older are eligible for OAA Title III B services. Preference is given to older persons with the greatest economic or social needs. Particular attention is given to low-income older individuals, low-income minority elders, individuals with Limited English Proficiency, and individuals residing in rural areas.

Statutory AuthorityOlder Americans Act, 42 United States Code 3001 et seq., as amended by Public Law 114–144; and Chapter 430, Florida Statutes.

Funding Source and Allocation MethodologiesOAA Title III B is 100 percent federally funded. A 10-percent match is required for services, and a 25-percent match is required for administration. Funds are allocated to AAAs, which contract with service providers to deliver supportive services. The statewide funding distribution for services in OAA Title III B is based on the following formula:

1. Base funding at the 2003 level.

2. Funding in excess of the base is allocated according to the following factors:

▪ 35 percent weight - Share of the population age 60 or older in the Planning and Service Area (PSA).


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▪ 35 percent weight - Share of the population age 60 and older with income below poverty in the PSA.

▪ 15 percent weight - Share of the minority population age 60 and older below 125 percent of the poverty level in the PSA.

▪ 15 percent weight - Share of population age 65 and older in the PSA with two or more disabilities.

OAA Title III B Funding History and Numbers Served

Federal Fiscal Year

Federal Funding

Clients Served

2009-2010 $26,729,390 43,921

2010-2011 $26,238,773 39,131

2011-2012 $26,219,739 35,160

2012-2013 $25,001,310 33,062

2013-2014 $31,360,052 29,346

2014-2015 $31,450,035 37,275

2015-2016 $32,261,390 37,415

2016-2017 $31,382,127 37,264

2017-2018 $36,471,305 *#42,462

2018-2019 #$36,471,305 #42,462

Note: The number of clients served under OAA Title III B does not include clients who are served with information and referral/assistance. For data on services assisting elders, caregivers, and the general public with their information and referral needs, see Information and Referral/Assistance units of service in the Services and Utilization table in Section F of this publication.*Due to reporting, actual figures for the 2017-2018 year were not available at the time of printing. Projections for years 2017-2018 and 2018-2019 are based on the 2016-2017 data.#ProjectionSource for clients served: CIRTS

Program HighlightMr. Y found himself the full-time caregiver for his wife of 50 years when she had a sudden stroke. As she improved, Mr. Y and his wife were constantly arguing over the small, daily issues and the big, ongoing health problems. When we met Mr. Y, he was suffering from depression and anxiety, as was his wife. With the help of mental health counseling, Mr. Y learned coping methods that reduced his stress, and he started to become more involved with former hobbies, especially his music and records. Today, Mr. Y is a member of a local record club that meets monthly, and he is organizing his extensive collection and record room, which has been untouched since his wife’s illness. Mr. Y recently shared with his counselor that he found some records he forgot he owned, and his relationship with his wife has improved greatly through mutual respect and positive conversations.

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DescriptionOlder Americans Act (OAA) Title III C1 funds are provided to promote better health among elders by improving nutrition and reducing isolation through congregate meals dining. Congregate meal sites are strategically located in schools, churches, community centers, senior centers, and other public or private facilities where individuals may obtain other social and rehabilitative services.

Services and ActivitiesServices provided are nutritionally sound meals served in a congregate setting that comply with the current Dietary Guidelines for Americans and provide a minimum of one-third of the dietary reference intakes (DRI) for the predominant statewide demographic recipient, a moderately active female age 70 or older.

AdministrationThe Department administers OAA Title III C1 programs and services through contracts with Area Agencies on Aging (AAAs), which enter into agreements with local service providers to deliver services within their communities. Program services are provided statewide by contractors and subcontractors.

EligibilityIndividuals eligible for OAA Title III C1 services include the following:

● Individuals age 60 or older;

● Spouses who attend the dining center with individuals age 60 or older;

● Individuals with a disability, regardless of age, who reside in a housing facility occupied primarily by older individuals where congregate nutrition services are provided;

● Individuals with a disability who reside at home with and accompany an eligible person to the dining center; and

● Volunteers, regardless of age, who provide essential services on a regular basis during meal hours.

Preference is given to older persons with the greatest economic or social needs. Particular attention is given to low income older individuals, low income minority elders, individuals with Limited English Proficiency, and individuals residing in rural areas.


Title III C1 – Congregate Meals



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Funding Source and Allocation MethodologiesOAA Title III C1 is 100 percent federally funded. A 10-percent match is required for services, and a 25-percent match is required for administration. The statewide funding distribution for services in OAA Title III C1 is based on the following formula:

1. Base funding at the 2003 funding level.


▪ 35 percent weight -Share of the population age 60 or older in the PSA.

▪ 35 percent weight - Share of the population age 60 or older with income below poverty in the PSA.

▪ 15 percent weight - Share of the minority population age 60 and older below 125 percent of the poverty level in the PSA.

▪ 15 percent weight - Share of population age 65 or older in the PSA with two or more disabilities.

OAA Title III C1 Funding History and Numbers Served

Federal Fiscal Year

Federal Funding

Clients Served

2009-2010 $31,992,629 29,403

2010-2011 $31,468,259 34,640

2011-2012 $31,467,368 32,677

2012-2013 $28,468,480 32,435

2013-2014 $20,374,456 30,283

2014-2015 $20,316,758 31,036

2015-2016 $20,640,980 30,164

2016-2017 $21,088,718 29,869

2017-2018 $23,471,840 *#30,100

2018-2019 #$23,471,840 #30,100

*Due to reporting, actual figures for the 2017-2018 year were not available at the time of printing. Projections for years 2017-2018 and 2018-2019 are based on the 2016-2017 data.#Projection Source for clients served: CIRTS

Program HighlightWhen a client shared a story about her father who had died at Pearl Harbor, the staff at Hope Connections in Hendry and Glades counties started a new Father’s Day tradition at their congregate meal sites. Clients bring in photos and share stories of the many positive male role models they had - fathers, uncles, step-fathers, husbands, sons, and other men in their lives. Many of the clients lost their fathers decades earlier, but through their stories, they are all able to celebrate the holiday together. This congregate meal site plans to continue this tradition every year so that their participants have a way to honor and remember loved ones.

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Title III C2 – Home-Delivered Meals


DescriptionOlder Americans Act (OAA) Title III C2 funds are provided to promote better health among frail elders by improving nutrition. Home-delivered meals are generally delivered to the homes of homebound participants at least once a day, five or more days a week.

Services and ActivitiesServices provided are nutritionally sound meals delivered to the home that comply with the current Dietary Guidelines for Americans and provide a minimum of one-third of the dietary reference intakes (DRI) for the predominant statewide demographic recipient, a moderately active female age 70 or older.

AdministrationThe Department administers OAA Title III C2 programs and services through contracts with Area Agencies on Aging (AAAs), which enter into agreements with local service providers to deliver services within their communities. Program services are provided statewide by contractors and subcontractors.

EligibilityIndividuals eligible for OAA Title III C2 services include the following:

● Individuals age 60 or older who are homebound by reason of illness, disability, or isolation and their spouses, regardless of age, if the provision of the collateral meal supports maintaining the person at home;

● Individuals with disabilities, regardless of age, who reside at home with eligible individuals and are dependent on them for care; and

● Individuals at nutritional risk who have physical, emotional, or behavioral conditions that would make their presence at the congregate site inappropriate; and persons at nutritional risk who are socially or otherwise isolated and unable to attend a congregate nutrition site.

Preference is given to older persons with the greatest economic or social needs. Particular attention is given to low-income older individuals, low-income minority elders, individuals with Limited English Proficiency, and individuals residing in rural areas.



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Funding Source and Allocation MethodologiesOAA Title III C2 is 100 percent federally funded. A 10-percent match is required for services, and a 25-percent match is required for administration. The statewide funding distribution for services in OAA Title III C2 is based on the following formula:



▪ 35 percent weight - Share of the population age 60 or older in the PSA.

▪ 35 percent weight - Share of the population age 60 or older below poverty in the PSA.

▪ 15 percent weight - Share of the minority population age 60 or older below 125 percent of the poverty level in the PSA.


OAA Title III C2 Funding History and Numbers Served

Federal Fiscal Year*

Federal Funding

Clients Served

2009-2010 $16,091,728 21,763

2010-2011 $15,810,460 21,469

2011-2012 $15,874,292 20,132

2012-2013 $15,035,675 19,915

2013-2014 $20,298,442 17,083

2014-2015 $20,195,703 17,481

2015-2016 $20,901,602 16,758

2016-2017 $21,204,115 15,235

2017-2018 $23,031,943 **#16,444

2018-2019 #$23,031,943 #16,444

*Allotment plus carry-forward dollars.**Due to reporting, actual figures for the 2017-2018 year were not available at the time of printing. Projections for years 2017-2018 and 2018-2019 are based on the 2016-2017 data.#ProjectionSource for clients served: CIRTS

Program HighlightAn 87-year-old client was a member of a congregate dining program until her dete-riorating vision issues began affecting her ability to walk downstairs from her apart-ment and around the center safely. She was upset about this and asked the staff what she could do as an alternative and was told about the home-delivered meal program. She was excited to know she would still be able to enjoy the delicious food she had grown accustomed to. After transitioning to the home-delivered meal pro-gram, she met with the county’s registered nutritionist for a nutrition consultation. She lauded the expertise and compassion of the county nutritionist, exclaiming that she learned more about managing diabetes in one hour with him than in the past three decades with her doctors.

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Title III – Nutrition Service Incentive Program (NSIP)


DescriptionThe Nutrition Services Incentive Program (NSIP) provides supplemental funding for meals served under the Older Americans Act (OAA) housed in the Administration on Aging, part of the U.S. Department of Health and Human Services. NSIP provides additional funding to help providers adjust meal rates, improve meal quality, and increase the number of meals provided to needy clients.

Services and ActivitiesNSIP reimburses Area Agencies on Aging (AAAs) and service providers for the costs of congregate and home-delivered meals through a supplement of approximately $0.72 per meal (reimbursement rate varies annually).

AdministrationThe Department administers the program through fixed-rate contracts with AAAs and local service providers.

EligibilityIndividuals eligible for NSIP assistance include the following:

● Individuals must be age 60 or older;

● Individuals must be qualified to receive services under the OAA; and

● Spouses, adults with disabilities, and volunteers younger than 60 may be served meals under some circumstances.

Statutory AuthorityOlder Americans Act, 42 United States Code 3001 et seq., as amended by Public Law 106-501; sections 20.41 and 430.101, Florida Statutes.

Funding Source and Allocation MethodologiesThe Nutrition Services Incentive Program is wholly federally funded. NSIP allotments by the U.S. Administration on Aging to State Units on Aging represent proportional shares of the annual program appropriation based on the number of meals served in the prior year. The Department allocates NSIP funding to Planning and Service Areas (PSAs) based on the total grant award and PSA expenditure rates.


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Program HighlightMr. T is a 76-year-old male living with his 75-year-old wife who is his caregiver. Mr. T has dementia due to Parkinson’s disease, and he also has hallucinations that cause him to require constant care. The Parkinson’s disease causes him to have extreme arm movements at any given time. Mr. T’s wife cares for him to the best of her ability but needed help. At the time of the initial assessment, she stated that she was weary and looking forward to getting some help in the home to assist her in his care.

During the assessment, it was also reported that Mr. T had been losing some weight because he was not eating. Mrs. T prepares meals for him, but he was still not eating. Mr. T began receiving home-delivered meals, and at the six month review, it was reported that he does eat his home-delivered meals and has gained some of his weight back. Mrs. T is very happy to have this assistance.

NSIP Funding History and Numbers Served

Federal Fiscal Year

Funding Allocated to PSAs

Meals Served

2009-2010 $6,978,546 *11,473,075

2010-2011 $7,752,196 11,376,805

2011-2012 $7,187,763 11,370,000

2012-2013 $6,247,984 8,677,755

2013-2014 $6,235,977 8,677,755

2014-2015 $6,367,358 8,519,847

2015-2016 $6,300,064 8,429,804

2016-2017 $6,116,211 7,715,226

2017-2018 $5,731,388 7,960,261

2018-2019 #$5,731,388 #7,960,261

*The availability of American Recovery and Reinvestment Act (ARRA) funding reflected an increase in meals eligible for reimbursement in FFY 2009-2010. Source for meals served: Department program reports

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Title III D – Disease Prevention and Health Promotion Services


DescriptionOAA Title III D funds provide evidence-based disease prevention and health promotion programs that have been researched and proven to be effective in the prevention and symptom management of chronic health conditions.

Some benefits of these programs include learning to overcome fatigue, positively managing symptoms, pain management, making healthier food choices, learning portion control, managing medications, building strength, and maintaining balance. Programs are conducted to educate seniors and their caregivers to adopt interventions that make noticeable differences in their health and well-being, as well as to increase the overall health of older Floridians.

Services and ActivitiesOAA Title III D services include the following programs:

ARTHRITIS: Arthritis Self-Management (Self Help) Program; Programa de Manejo Personal de la Arthritis; and Tai Chi for Arthritis.

DIABETES: Diabetes Empowerment Education Program; Diabetes Self-Management; and Programa de Manejo Personal de la Diabetes.

FALLS PREVENTION: A Matter of Balance; Stepping On; Tai Chi Quan: Moving for Better Balance; and Un Asunto de Equilibrio.

CHRONIC CONDITIONS: Chronic Disease Self-Management Program; Chronic

Pain Self-Management Program; and Tomando Control de su Salud.

NUTRITION AND WELLNESS: Enhance Wellness; Healthy Eating Every Day; Medication Management; and Powerful Tools for Caregivers.

MENTAL HEALTH: Healthy Ideas; Brief Intervention and Treatment for Elders (BRITE); and Program to Encourage Active Rewarding Lives for Seniors (PEARLS).

PHYSICAL ACTIVITY/EXERCISE: Active Living Every Day; Arthritis Foundation Exercise Program; Enhance Fitness; Fit and Strong!; Healthy Moves for Aging Well; Stay Active and Independent for Life (SAIL); and Walk With Ease.

AdministrationThe Department administers OAA Title III D programs and services through contracts with Area Agencies on Aging (AAAs), which enter into agreements with local service providers to deliver services within their communities. Program services are provided statewide by contractors and subcontractors.

EligibilityIndividuals eligible for OAA Title III D services include the following:

● Individuals age 60 or older; and

● Individuals residing in medically underserved areas.


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Funding Source and Allocation MethodologiesOAA Title III D is 100 percent federally funded. The intrastate distribution of funds made available by OAA Title III D is based on the following formula:

▪ 50 percent weight - Share of population age 60 and older with income below poverty in the PSA.

▪ 50 percent weight - Share of people age 65 and older living in “Medically Underserved Areas,” plus the number of people age 65 and older who live in areas defined as having “Medically Underserved Populations” in the PSA.

OAA Title III D Funding History

Federal Fiscal Year Funding

2009-2010 $1,557,571

2010-2011 $1,554,456

2011-2012 $1,551,522

2012-2013 $1,461,664

2013-2014 $1,461,573

2014-2015 $1,461,605

2015-2016 $1,458,822

2016-2017 $1,444,234

2017-2018 $1,854,009

2018-2019 #$1,854,009

#ProjectionSource: US Department of Health & Human Services (HHS) - Administration for Community Living (ACL)

Program Highlight“I have benefited from the “A Matter of Balance” class. In just a short time, I am walking better without the feeling of falling and am definitely more balanced on my feet. I even did some little dance steps with my four-year-old granddaughter. I can handle steps better, and also know that I will keep improving as I do the exercises daily. The class has been instructional, interesting, and entertaining. The instructors encourage us to participate and feel as though we are among friends. I’m looking forward to improving more through the exercises and being able to get down on the floor and back up. I have not been able to do that for years.”

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OAA III D Numbers ServedCalendar Year* Clients Served

2010 94,634

2011 95,471

2012 52,621

2013 **21,422

2014 ***18,730

2015 10,909

2016 8,793

Federal Fiscal Year Clients Served

2016-2017**** 9,042

2017-2018 8,303

2018-2019 #8,303

*Federal Fiscal Year runs October to September, but the contract period for clients served is January to December.**Decreased CY 2013 performance is due to increased emphasis on evidence-based programs requiring a longer duration of workshops and smaller class sizes targeting special or hard-to-serve populations including rural, low-income, and non-English-speaking individuals.***Beginning in 2014, ACL required that all programs using Title III D funds be evidence-based (“minimal,” “intermediate,” or “highest” level). CY 2016 was the first year that all services were in compliance with the highest level.**** Beginning with 2016-2017 data, number of clients served by the program will be provided based on the Federal Fiscal Year to align with the reported Federal Fiscal Year funding.#ProjectionSource: Contractor monthly reports

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Title III E – National Family Caregiver Support Program (Caregiver Support)


DescriptionOlder American’s Act (OAA) OAA Title III E funds provide multifaceted systems of support services to family caregivers and grandparents.

Services and ActivitiesNational Family Caregiver Support services include the following categories:

CAREGIVER SUPPORT SERVICES Services are directed to caregivers who provide care for individuals 60 and older, including respite, adult day care, and assistance in the areas of health, nutrition, and financial literacy.

CAREGIVER SUPPLEMENTAL SERVICES Supplemental services are available to caregivers of frail individuals age 60 and older or grandparents providing care to grandchildren to complement the care provided by caregivers. Services include chore, housing improvement, legal assistance, and specialized medical equipment and supplies.

GRANDPARENT OR NON-PARENT RELATIVE SUPPORT SERVICES Services are provided for grandparents and other non-parent relative caregivers of children, designed to help them to meet their caregiving obligations, including caregiver training, child day care, counseling, legal assistance, and transportation.

AdministrationThe Department administers OAA Title III E programs and services through contracts with Area Agencies on Aging (AAAs), which enter into agreements with local service providers to deliver services within their communities. Program services are provided statewide by contractors and subcontractors.

EligibilityIndividuals eligible for OAA Title III E services include the following:

● Adult family members or other individuals who are caregivers of individuals age 60 and older;

● Grandparents or older individuals, age 55 or older, who are relative caregivers of children not more than 18 years old or individuals with disabilities; and

● Individuals providing care and support to individuals including children with severe disabilities.



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Program HighlightMr. C currently lives with his caregiver/partner in a mobile home in Florida. Mr. C is an amputee due to diabetes. Before Title IIIE service intervention he was suffering from depression, along with fear and anxiety that his partner was going to leave due to the stress of caring for him. Upon becoming active through Title IIIE, the Caregiver Specialist was able to arrange Mental Health Counseling for the client and Respite services for the caregiver. Mr. C has been able to reduce counseling from once per week to once every other week. Mr. C also receives Chore services to assist with the industrial cleaning. Mr. C’s caregiver receives Respite services weekly to allow time to paint and join other clubs within the mobile home park. Title IIIE also provides Mr. C with specialized consumer assistance supplies (protein drinks) that assist him with supplementing nutrition. Mr. C is on a fixed budget and receives Supplemental Nutrition Assistance (SNAP). By providing services holistically, the caregiver can continue to provide care and the care recipient is at ease that his caregiver is able to do so with less stress.

OAA Title III E Funding History and Numbers Served

Federal Fiscal Year

Federal Funding

Clients Served

2009-2010 $12,466,239 18,674

2010-2011 $12,255,674 17,169

2011-2012 $12,070,518 18,333

2012-2013 $11,527,293 16,329

2013-2014 $11,594,573 15,250

2014-2015 $11,694,400 16,553

2015-2016 $12,175,645 *80,889

2016-2017 $12,289,080 77,749

2017-2018 $14,897,648 **#91,335

2018-2019 #$14,897,648 #91,335

*Beginning in 2015, the number of caregivers reported includes caregivers receiving counseling/support groups, caregiver training, respite care, supplemental services, and access assistance. **Actual figures for the 2017-2018 year were not available at the time of printing. Projections for years 2017-2018 and 2018-2019 are based on the 2016-2017 data.#Projection Source for clients served: NAPIS

Funding Source and Allocation MethodologiesOAA Title III E is 100 percent federally funded. A 10-percent match is required for services, and a 25-percent match is required for administration. The statewide funding distribution for services in OAA Title III E is based on the following formula:



▪ 35 percent weight - Share of the population age 60 or older in the PSA.

▪ 35 percent weight - Share of the population age 60 and older below poverty in the PSA.

▪ 15 percent weight - Share of the minority population age 60 or older below 125 percent of the poverty level in the PSA.


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Title V – Senior Community Service Employment Program (SCSEP)


DescriptionThe Senior Community Service Employment Program (SCSEP) serves unemployed low-income Floridians age 55 and older who have poor employment prospects. The dual goals of the program are to provide useful opportunities in community service job training and to move SCSEP participants into unsubsidized employment so that participants can achieve economic self-sufficiency and remain a vital part of Florida’s workforce.

To achieve SCSEP’s goals, participants gain work experience in a variety of community service activities at non-profit and public agencies.

Services and ActivitiesServices provided to participants include assessments, preparation of individual employment plans, supportive services, annual free physical examinations, and personal and employment-related counseling. Participants receive job training at community service assignments and are paid minimum wage while gaining experience. Once participants have gained necessary skills, they receive job development assistance, job referrals, resume building, interview skills, assistance with placement in unsubsidized employment, and follow-up support once placed.

Under the Workforce Innovation and Opportunity Act of 2014, SCSEP is a mandated partner in regional one-stop centers operated under the auspices of Florida’s 24 regional workforce development boards.

AdministrationSCSEP is the only federally funded employment and training program focused exclusively on the needs of low-income older persons. The Department administers SCSEP state-share funds through contracts with local organizations.

EligibilityIndividuals eligible for OAA Title V services include the following:

● Unemployed Florida residents who are age 55 or older; and

● Have income of no more than 125 percent of the Federal Poverty Guidelines.

● Enrollment priority is also given to individuals who:

» Are age 65 or older;

» Are eligible veterans and qualified spouses (in accordance with the Jobs for Veterans Act);

» Have a disability;

» Are experiencing homelessness or at risk of homelessness; or

» Have low employment prospects or have failed to find employment after using services through the American Job Center system.

Preference is given to older persons with the greatest economic or social needs. Particular attention is given to low-income older individuals, low-income minority elders,

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2019 SUMMARY OF PROGRAMS AND SERVICES40 2019 SUMMARY OF PROGRAMS AND SERVICES

individuals with Limited English Proficiency, and individuals residing in rural areas.

Statutory AuthorityTitle V of the Older Americans Act, Reauthorization Act of 2016, Public Law 114-144.

Funding Source and Allocation MethodologiesThe program is funded under Title V of the Older Americans Act (OAA). Nationally, 78 percent of funds and related slots are contracted on a competitive basis by the U.S. Department of Labor to national sponsors. These sponsors operate programs directly or subcontract them to public or non-profit agencies. The remaining 22 percent of funds are allocated to each state.

The Department, as Florida’s designated State Unit on Aging, is the grant recipient of state-share SCSEP funds. Funds are awarded through a competitive process to organizations in most of Florida’s 11 Planning and Service Areas. The program requires a 10-percent match.

Annually, the Department works with national SCSEP sponsors to review existing slot placements by county and to ensure that authorized positions apportioned to each county are distributed in an equitable manner. With assistance from the national sponsors, the Department develops an annual equitable distribution report to ensure that program funds are spent fairly and consistent with the distribution of eligible elders throughout the state.


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OAA Title V Number of Program Slots

State Fiscal Year State-Share Program Slots

Funding Allocation

National Sponsor Program Slots

2009-2010 695 $6,436,237 2,719

2010-2011 939 $6,781,930 2,825

2011-2012 543 $5,031,981 2,124

2012-2013 540 $5,235,172 2,111

2013-2014 516 $5,006,353 2,124

2014-2015 525 $5,094,417 2,063

2015-2016 525 $5,094,417 2,054

2016-2017 525 $5,094,417 1,879

2017-2018 481 $4,660,264 1,879

2018-2019 #482 $4,675,586 #1,885

#Projection Source for program slots: U.S. Department of Labor, Employment and Training Administration

Program HighlightMs. L saw the Senior Community Service Employment Program (SCSEP) as an opportunity to receive training and gain experience in a business and office environment. During her time with SCSEP, she received office administration training and utilized her new skills to restructure front desk operations at her community service assignment. She became a trainer for new participants and was the go-to person for an Information Technology transition project. The accumulation of experience that SCSEP provided gave her the qualifications and essential business skills necessary to become an outstanding office manager. Thanks to her SCSEP training, Ms. L was hired at a prominent non-profit organization.

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Title VII, Section 712 – Long-Term Care Ombudsman Program


DescriptionThe Long-Term Care Ombudsman Program (LTCOP) is a statewide, volunteer-based program that works to protect, defend, and advocate on behalf of long-term care facility residents. Program staff and volunteers receive specialized training to become state-certified ombudsmen who identify, investigate, and resolve complaints made by, or on behalf of, residents of nursing homes, assisted living facilities, adult family care homes, or continuing care retirement communities.

Services and ActivitiesOmbudsmen investigate complaints brought to the attention of the program’s representatives concerning the health, safety, welfare, or rights of residents of long-term care facilities. Ombudsmen work with residents and facilities to develop a resolution plan that satisfies the resident. LTCOP protects residents’ rights by preserving the identity of the resident and the confidentiality of any information concerning alleged abuse, neglect, or exploitation, unless the proper consent is obtained. In addition, the program:

● Provides information, consultation, and other resources regarding residents’ rights in all long-term care facilities;

● Helps develop and support resident and family councils to protect the well-being of residents;

● Conducts annual resident-centered administrative assessments that focus on quality-of-life issues in each long-term care facility;

● Responds to complaints filed by long-term care residents, their families, or guardians; and

● Monitors the development and implementation of federal, state, and local laws, regulations and policies that pertain to the health, safety, and welfare of residents in long-term care facilities.

AdministrationThe Long-Term Care Ombudsman Program is administered by the Department of Elder Affairs. The program operates through the Office of the State Long-Term Care Ombudsman and 14 local offices that coordinate and support the service of 335 certified volunteer ombudsmen and ombudsmen trainees. A map of the LTCOP office locations with contact information can be found on page 17 of this publication.

EligibilityAnyone – including long-term care residents, friends, family members, and facility staff – may report a concern on behalf of residents of long-term care facilities. The services of the program are at no cost and are confidential.


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Statutory AuthorityTitle VII of the Older Americans Act, 42 United States Code 3001 et seq., as amended by Public Law 106-501; Part I, Chapter 400, Florida Statutes.

Funding Source and Allocation MethodologiesThe Long-Term Care Ombudsman Program is funded by Title III and Title VII of the Older Americans Act and by General Revenue dollars.

Program HighlightThe mission of the Long-Term Care Ombudsman Program (LTCOP) is to improve the quality of life for all Florida long-term care residents by advocating for and protecting their health, safety, welfare, and rights.

An air conditioning system had been leaking water into a resident’s room for months, even after the resident had made the issue known to management. As time passed, the carpeting and furniture in the resident’s room became wet and damaged from the leak. A long-term care ombudsman noticed the conditions during a routine visit and advocated for the resident’s right to a safe and healthy environment. The leak was soon repaired, and water damaged items were replaced.

The long-term care ombudsman was contacted by several residents concerned about staff attitudes toward them, their requests for help not being answered, and their personal choices not being respected. Residents were surprised to learn about their right to file complaints, request care plan meetings, voice concerns, choose their own physician, and communicate with the home administrator. After speaking up, the residents expressed satisfaction with participating in their care and discovering their voices did matter.

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LTCOP Appropriation History

State Fiscal Year Federal Funding State Funding Total Funding

2009-2010 $1,618,461 $1,337,849 $2,956,310

2010-2011 $1,239,282 $1,329,103 $2,568,385

2011-2012 $2,639,270 $1,312,938 $3,952,208

2012-2013 *$1,821,163 $1,305,344 $3,126,507

2013-2014 $1,743,137 $1,297,377 $3,040,514

2014-2015 $1,575,677 $1,260,194 $2,835,871

2015-2016 $1,578,995 $1,260,194 $2,839,189

2016-2017 $1,585,688 $1,260,194 $2,845,882

2017-2018 $1,670,533 $1,260,194 $2,930,727

2018-2019 #$1,670,533 $1,260,194 #$2,930,727

*Beginning in 2012-2013, the total does not include unallocated costs.#Projection


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LTCOP Assessments and Investigations

Federal Fiscal Year Facilities Assessments Complaint Investigations

2009-2010 4,016 4,016 8,651

2010-2011 4,039 3,347 7,534

2011-2012 4,039 4,269 8,600

2012-2013 4,074 4,091 7,336

2013-2014 4,079 4,120 6,624

2014-2015 4,068 4,164 5,751

2015-2016 4,154 4,019 5,718

2016-2017 4,130 4,304 5,651

2017-2018 4,112 4,230 5,189

2018-2019 #4,112 #4,230 #5,189

#ProjectionSource: District ombudsman offices reports

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Title VII, Section 720 – Elder Abuse Prevention


DescriptionThe Elder Abuse Prevention Program is designed to increase awareness of elder abuse, neglect, and exploitation (including fraud and scams). The program includes training and dissemination of elder abuse prevention materials and funds special projects to provide training and prevention activities.

Services and ActivitiesThe program provides public education and outreach to identify and prevent elder abuse, neglect, and exploitation. The Department has developed elder abuse prevention training modules, including modules for professionals, the general public (especially elders), law enforcement, financial institution employees, and case managers. Department staff and AAA coordinators provide free training on these modules and disseminate training materials to other professionals for use in their communities.

The program also distributes and publishes online educational resources, including a fact sheet titled “How to Minimize the Risk of Becoming a Victim” and the following brochures: “The Power to Prevent Elder Abuse Is In Your Hands,” “Preventing Financial Exploitation,” “Preventing Home Repair Fraud,” and “Prevent Identity Theft.”

AdministrationThe Elder Abuse Prevention Program is administered by the Department’s Bureau of Elder Rights through contracts with AAAs. The goal of the program is to develop, strengthen, and carry out programs to prevent elder abuse, neglect, and exploitation, including financial exploitation by fraud or scams.

OAA Title VII Funding History

Federal Fiscal Year Federal Funding

2009-2010 $373,679

2010-2011 $367,419

2011-2012 $361,264

2012-2013 $344,252

2013-2014 $344,252

2014-2015 $344,252

2015-2016 $344,252

2016-2017 $344,252

2017-2018 $344,252

2018-2019 $344,252


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EligibilityThe program serves anyone in need of information on the signs; symptoms; and prevention of elder abuse, neglect, and exploitation, including information on how to report suspected abuse.

Statutory AuthorityOlder Americans Act; 42 United States Code 3001 et seq.; and section 430.101, Florida Statutes.

Funding Source and Allocation MethodologiesThe program is 100 percent federally funded by the Older Americans Act (OAA). Special projects are developed and funded based on OAA guidelines for activities to develop, strengthen, and implement programs for the prevention of elder abuse, neglect, and exploitation.

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Documents

2019 Summary of Programs and Services Section Belderaffairs.state.fl.us/doea/pubs/pubs/sops2019/2019_SOPS_B.pdf · In-home services including homemaker, home health aide, home repair,